公开(公告)号：US20110270193A1

公开(公告)日：2011-11-03

申请号：US13182682

申请日：2011-07-14

申请人： Russell Heinrich ,  David C. Racenet ,  Robert C. Smith ,  Gregory G. Okoniewski

发明人： Russell Heinrich ,  David C. Racenet ,  Robert C. Smith ,  Gregory G. Okoniewski

IPC分类号： A61B17/34

CPC分类号： A61B17/3417 ,  A61B17/3209 ,  A61B17/32093

摘要： An obturator assembly for penetrating tissue and being at least partially positionable within a cannula assembly includes an obturator housing, an obturator shaft connected to the obturator housing and defining a longitudinal axis, a bladeless penetrating member adjacent the distal end of the obturator shaft and an obturator shield mounted about the obturator shaft and having a distal shield nose. The obturator shield is adapted for longitudinal movement between an extended position where the bladeless penetration member is substantially enclosed within the shield nose and a retracted position where the bladeless penetrating member is at least partially exposed from the shield nose. A manually manipulative member is mounted to the obturator housing and is adapted for rotational movement about the longitudinal axis and relative to the obturator housing between an initial position corresponding to a first mode of operation where the obturator shield is secured in the extended position and the shield nose is used to penetrate tissue, and a release position corresponding to a second mode of operation operatively releasing the obturator shield to permit the obturator shield to move to the retracted position thereof to expose the bladeless penetrating member for further dissecting the tissue.

摘要翻译： 用于穿透组织并且至少部分地定位在插管组件内的闭孔器组件包括闭塞器壳体，连接到闭孔器壳体并限定纵向轴线的闭塞轴，邻近闭塞轴远端的无叶贯穿构件和闭孔器 护罩安装在闭孔轴上并具有远端护罩鼻部。 闭塞器护罩适于纵向运动，其伸展位置之间，其中无涂层穿透构件基本上封闭在屏蔽鼻部内，以及缩回位置，其中无钝物穿透构件至少部分地从屏蔽鼻部露出。 手动操纵构件安装到闭孔器壳体上并且适于围绕纵向轴线和相对于闭孔器壳体的旋转运动在对应于第一操作模式的初始位置处，其中闭塞器护罩固定在伸出位置，并且屏蔽件 鼻子用于穿透组织，并且对应于第二操作模式的释放位置可操作地释放闭塞器护罩以允许闭孔器护罩移动到其缩回位置，以暴露无叶穿透构件以进一步解剖组织。

公开(公告)号：US08002788B2

公开(公告)日：2011-08-23

申请号：US12244150

申请日：2008-10-02

申请人： Russell Heinrich ,  David C. Racenet ,  Robert C. Smith ,  Gregory G. Okoniewski

发明人： Russell Heinrich ,  David C. Racenet ,  Robert C. Smith ,  Gregory G. Okoniewski

IPC分类号： A61B17/00

CPC分类号： A61B17/3417 ,  A61B17/3209 ,  A61B17/32093

摘要： An obturator assembly for penetrating tissue and being at least partially positionable within a cannula assembly includes an obturator housing, an obturator shaft connected to the obturator housing and defining a longitudinal axis, a bladeless penetrating member adjacent the distal end of the obturator shaft and an obturator shield mounted about the obturator shaft and having a distal shield nose. The obturator shield is adapted for longitudinal movement between an extended position where the bladeless penetration member is substantially enclosed within the shield nose and a retracted position where the bladeless penetrating member is at least partially exposed from the shield nose. A manually manipulative member is mounted to the obturator housing and is adapted for rotational movement about the longitudinal axis and relative to the obturator housing between an initial position corresponding to a first mode of operation where the obturator shield is secured in the extended position and the shield nose is used to penetrate tissue, and a release position corresponding to a second mode of operation operatively releasing the obturator shield to permit the obturator shield to move to the retracted position thereof to expose the bladeless penetrating member for further dissecting the tissue.

摘要翻译： 用于穿透组织并且至少部分地定位在插管组件内的闭孔器组件包括闭塞器壳体，连接到闭孔器壳体并限定纵向轴线的闭塞轴，邻近闭塞轴远端的无叶贯穿构件和闭孔器 护罩安装在闭孔轴上并具有远端护罩鼻部。 闭塞器护罩适于纵向运动，其伸展位置之间，其中无涂层穿透构件基本上封闭在屏蔽鼻部内，以及缩回位置，其中无钝物穿透构件至少部分地从屏蔽鼻部露出。 手动操纵构件安装到闭孔器壳体上并且适于围绕纵向轴线和相对于闭孔器壳体的旋转运动在对应于第一操作模式的初始位置处，其中闭塞器护罩固定在伸出位置，并且屏蔽件 鼻子用于穿透组织，并且对应于第二操作模式的释放位置可操作地释放闭塞器护罩以允许闭孔器护罩移动到其缩回位置，以暴露无叶穿透构件以进一步解剖组织。

公开(公告)号：US20110147435A1

公开(公告)日：2011-06-23

申请号：US13039372

申请日：2011-03-03

申请人： Russell Heinrich ,  Michael J. Bettuchi ,  David Fowler ,  Robert Capella ,  John Hauschild

发明人： Russell Heinrich ,  Michael J. Bettuchi ,  David Fowler ,  Robert Capella ,  John Hauschild

IPC分类号： A61B17/068

CPC分类号： A61B17/115 ,  A61B17/00491 ,  A61B17/1155 ,  A61B2017/00893

摘要： The present disclosure relates to surgical instruments, structures and methods for enhancing the properties of tissue to be repaired or joined. According to an aspect of the present disclosure, a surgical stapling apparatus is provided including a wound treatment material dispersion system for delivering wound treatment material to a target surgical site. The dispersion system includes an aperture formed in the anvil assembly oriented to dispense wound treatment material in an outward direction; and a source of wound treatment material in fluid communication with the aperture of the anvil assembly.

摘要翻译： 本公开涉及用于增强要修复或接合的组织的性质的外科器械，结构和方法。 根据本公开的一个方面，提供了一种外科缝合装置，其包括用于将伤口治疗材料输送到目标手术部位的伤口治疗材料分散系统。 分散系统包括形成在砧座组件中的孔，其定向成沿向外的方向分配伤口处理材料; 以及与砧座组件的孔流体连通的伤口治疗材料源。

公开(公告)号：US20110079626A1

公开(公告)日：2011-04-07

申请号：US12965013

申请日：2010-12-10

申请人： Frank J. Viola ,  Gregg Krehel ,  Michael A. Soltz ,  Robert J. DeSantis ,  Henry E. Holsten ,  Russell Heinrich

发明人： Frank J. Viola ,  Gregg Krehel ,  Michael A. Soltz ,  Robert J. DeSantis ,  Henry E. Holsten ,  Russell Heinrich

IPC分类号： A61B17/068

CPC分类号： A61B17/072 ,  A61B17/068 ,  A61B17/07207 ,  A61B17/12 ,  A61B2017/00115 ,  A61B2017/00128 ,  A61B2017/00398 ,  A61B2017/00734 ,  A61B2017/07214 ,  A61B2017/2943 ,  A61B2017/320052 ,  A61B2090/064 ,  A61B2090/0811

摘要： A surgical apparatus has a clamp and a stapling mechanism. The clamp has a first jaw and a second jaw to clamp on a body tissue at a desired location for a stapling operation. The stapling mechanism is controlled by a trigger handle or a switch assembly. The surgical apparatus has a controller for providing a delay between clamping and actuating of the firing mechanism of the stapling mechanism. The delay provides for a desired amount of time for tissue compression producing a more uniform staple formation. The surgical apparatus also has an indicator. The indicator provides feedback about the status of the stapling mechanism and also displays a time of tissue compression by the clamp.

摘要翻译： 手术装置具有夹具和缝合机构。 夹具具有第一钳口和第二钳口，以在期望的位置处夹持在身体组织上用于缝合操作。 装订机构由触发手柄或开关组件控制。 手术装置具有用于在装订机构的击发机构的夹持和致动之间提供延迟的控制器。 该延迟为组织压缩提供期望的时间量，从而产生更均匀的缝钉形成。 手术器械还具有指示器。 指示器提供关于装订机构的状态的反馈，并且还显示夹具的组织压缩时间。

公开(公告)号：US20110042440A1

公开(公告)日：2011-02-24

申请号：US12916926

申请日：2010-11-01

申请人： Henry E. Holsten ,  Frank J. Viola ,  Clifford L. Emmons ,  John W. Beardsley ,  Russell Heinrich ,  Nicola Cullinan

发明人： Henry E. Holsten ,  Frank J. Viola ,  Clifford L. Emmons ,  John W. Beardsley ,  Russell Heinrich ,  Nicola Cullinan

IPC分类号： A61B17/072

CPC分类号： A61B17/072 ,  A61B17/00491 ,  A61B17/068 ,  A61B17/07207 ,  A61B17/07292 ,  A61B17/11 ,  A61B17/1114 ,  A61B17/115 ,  A61B17/1155 ,  A61B17/32053 ,  A61B2017/07214 ,  A61B2017/07235 ,  A61B2017/07242 ,  A61B2017/320052

摘要： A surgical stapling apparatus includes a staple cartridge and an anvil member. The staple cartridge includes a plurality of surgical fasteners disposed in rows of retention slots. The staple cartridge may have an annular or linear configuration of retention slots. The tissue contacting surface of the staple cartridge may be tapered or stepped. The anvil member has a tissue contacting surface that includes a number of pockets arranged for substantially aligning with the retention slots. In addition, the tissue contacting surface of the anvil member may complement the tissue contacting surface of the staple cartridge.

摘要翻译： 外科缝合装置包括钉仓和砧座构件。 钉仓包括设置成一排保留槽的多个外科紧固件。 钉仓可以具有保持槽的环形或线性构造。 钉仓的组织接触表面可以是锥形或阶梯状。 所述砧座构件具有组织接触表面，所述组织接触表面包括布置成与所述保持槽基本对准的多个凹穴。 此外，砧座构件的组织接触表面可补充钉仓的组织接触表面。

公开(公告)号：US20100286717A1

公开(公告)日：2010-11-11

申请号：US12841523

申请日：2010-07-22

申请人： Russell Heinrich ,  Scott E. Manzo

发明人： Russell Heinrich ,  Scott E. Manzo

IPC分类号： A61B17/11

CPC分类号： A61B17/11 ,  A61B17/00491 ,  A61B17/0469 ,  A61B17/115 ,  A61B2017/00004 ,  A61B2017/1103 ,  A61B2017/1107 ,  A61B2017/1135 ,  A61B2017/22069 ,  A61F2/064

摘要： The present disclosure relates a device for joining a first body vessel to a second body vessel, including an inner member having a distal end portion and defining a longitudinal axis, an outer member defining a lumen dimensioned to receive the inner member therein, and a radially expandable anchor disposed at the distal end of the inner member, the expandable anchor having an initial condition wherein the expandable anchor is disposed between the outer member and the inner member and an expanded condition wherein the expandable anchor is radially larger than the expandable anchor in the initial condition.

摘要翻译： 本公开涉及一种用于将第一身体容器连接到第二身体容器的装置，包括具有远端部分并限定纵向轴线的内部构件，限定尺寸设置成容纳内部构件的内腔的外部构件， 可膨胀锚固件设置在内部构件的远端处，可膨胀锚固件具有初始状态，其中可膨胀锚固件设置在外部构件和内部构件之间，并且膨胀状态，其中可膨胀锚固件在径向上大于可伸缩锚固件 初始条件。

公开(公告)号：US07802712B2

公开(公告)日：2010-09-28

申请号：US12408435

申请日：2009-03-20

申请人： Keith L. Milliman ,  Russell Heinrich

发明人： Keith L. Milliman ,  Russell Heinrich

IPC分类号： A61B17/10

CPC分类号： A61B17/1114 ,  A61B1/31 ,  A61B17/02 ,  A61B17/115 ,  A61B17/1155 ,  A61B2017/00469 ,  A61B2017/00473 ,  A61B2017/2927 ,  A61B2017/2931

摘要： A surgical stapling device is disclosed for the treatment of internal hemorrhoids. The surgical stapling device includes a handle portion, an elongated body portion and a head portion including an anvil assembly and a shell assembly. The head portion includes an anvil assembly including a tiltable anvil which will tilt automatically after the device has been fired and unapproximated. The tiltable anvil provides a reduced anvil profile to reduce trauma during removal of the device after the anastomoses procedure has been performed. The anvil assembly of the stapling device may include an approximation mechanism having an anvil retainer including an elongated distal extension dimensioned to be telescopingly received within a longitudinal bore of an anvil center rod of the anvil assembly. The elongated distal extension is of a length to provide telescopic engagement with the anvil center rod without obstructing visualization of the surgical site. A kit including a surgical instrument having a removable anvil assembly and an anvil assembly insertion handle is also disclosed. The kit may also include a speculum, an anal dialator and/or an obturator.

摘要翻译： 公开了用于治疗内痔的外科缝合装置。 外科缝合装置包括手柄部分，细长主体部分和包括砧座组件和壳体组件的头部部分。 头部包括砧座组件，该砧组件包括可倾斜的砧座，该砧座将在该装置被点火并且未被近似之后自动倾斜。 可倾斜的砧座提供减小的砧座轮廓，以在执行吻合过程之后减少在装置移除期间的创伤。 装订装置的砧座组件可以包括近似机构，其具有砧座保持器，该砧座保持器包括细长的远端延伸部，其尺寸可伸缩地容纳在砧座组件的砧座中心杆的纵向孔内。 细长的远端延伸部具有能够与砧座中心杆伸缩接合的长度，而不会妨碍手术部位的可视化。 还公开了一种包括具有可移除砧座组件和砧座组件插入手柄的手术器械的套件。 该套件还可以包括窥器，肛门拨号器和/或闭塞器。

公开(公告)号：US20100023052A1

公开(公告)日：2010-01-28

申请号：US12486819

申请日：2009-06-18

申请人： Russell Heinrich ,  Robert J. DeSantis ,  Richard D. Gresham ,  Kenneth M. Blier

发明人： Russell Heinrich ,  Robert J. DeSantis ,  Richard D. Gresham ,  Kenneth M. Blier

IPC分类号： A61B17/064

CPC分类号： A61B17/0644 ,  A61B17/0643 ,  A61B2017/00867 ,  A61B2017/0406

摘要： A staple having a backspan and a first and second leg extending distally from the backspan. Each of the first and second legs includes a bend zone dividing each leg into a traversing leg portion and a linear clenching leg portion. When formed through tissue, each of the clenching leg portions of the first and second legs are formed substantially parallel to the backspan. A staple assembly is also provided including a substantially box staple having a backspan and a first and a second leg extending distally from the backspan. The staple assembly includes a staple plate positionable over the first and second legs.

摘要翻译： 具有反跨架的钉子，以及从背跨远端延伸的第一和第二腿。 第一腿和第二腿中的每一个包括将每个腿分成横向腿部和线性咬紧腿部的弯曲区域。 当通过组织形成时，第一和第二腿的每个紧固腿部基本上平行于后跨梁形成。 还提供了一种订书钉组件，其包括具有后跨梁的基本上为盒子的订书钉以及从后退跨过远处延伸的第一和第二腿部。 钉组件包括可定位在第一和第二腿上的钉板。

公开(公告)号：US20090118747A1

公开(公告)日：2009-05-07

申请号：US12258621

申请日：2008-10-27

申请人： Michael Bettuchi ,  Russell Heinrich

发明人： Michael Bettuchi ,  Russell Heinrich

IPC分类号： A61B17/08

CPC分类号： A61B17/0644 ,  A61B17/00234 ,  A61B17/0057 ,  A61B2017/00871

摘要： The present disclosure provides a surgical fastener for use in surgery. The surgical fastener may be made of a shape memory polymer which alters its shape in vivo to assist in securing tissue or devices, such as meshes used in hernia repair, to tissue.

摘要翻译： 本公开提供了一种用于手术的手术紧固件。 手术紧固件可以由形状记忆聚合物制成，其在体内改变其形状，以有助于将组织或装置（例如用于疝修补的网眼）固定到组织。

公开(公告)号：US20090105635A1

公开(公告)日：2009-04-23

申请号：US12247303

申请日：2008-10-08

申请人： Michael Bettuchi ,  Stephen R. Paul ,  Russell Heinrich ,  Richard D. Gresham ,  Frank Richard Schiretz, JR. ,  Michael D. Switzer

发明人： Michael Bettuchi ,  Stephen R. Paul ,  Russell Heinrich ,  Richard D. Gresham ,  Frank Richard Schiretz, JR. ,  Michael D. Switzer

IPC分类号： A61M13/00 ,  A61B17/34

CPC分类号： A61B17/3498 ,  A61B17/3421 ,  A61B17/3462 ,  A61B2017/0084 ,  A61M39/06 ,  A61M39/0693 ,  A61M2039/0036 ,  A61M2039/0081 ,  A61M2039/0633 ,  A61M2039/0646 ,  A61M2039/0653 ,  A61M2039/068

摘要： The present disclosure relates to surgical access assemblies and surgical valves or seals of the type adapted to allow the introduction of a surgical instrument or object therethrough. In particular, the surgical access assemblies and seals disclosed herein are adapted to facilitate the insertion, withdrawal, and manipulation of a surgical instrument through the incorporation of a lubricous substance or fluid.

摘要翻译： 本公开涉及适于允许通过其引入外科器械或物体的类型的外科进入组件和外科手术阀或密封件。 特别地，本文公开的手术进入组件和密封件适于通过并入润滑物质或流体来促进手术器械的插入，抽出和操纵。